GREAT NEWS!

You may be able to get FREE services at Planned Parenthood!

The Family Planning Benefit Program offers FREE annual gynecological exams and FREE birth control for family planning patients.

How Do I Qualify?

  • Be a woman or man of childbearing age
  • Be a New York state resident
  • Have satisfactory immigration status
  • Not be currently enrolled in Medicaid or Family Health Plus
  • Meet the income guidelines below

Maximum income allowed to get free services: (updated 5/9/08)

# in Family Annual income # in Family Annual income
1 $20,800 6 $56,800
2 $28,000 7 $64,000
3 $35,200 8 $71,200
4 $44,400 9 $78,400
5 $49,600 10 $85,600

Do you think you qualify?  If YES, just follow these easy steps to apply for the new Family Planning Benefit Program:

  • Make an appointment

  • Bring the information listed below to your next appointment:

1. IDENTITY (proof of who you are). Bring ONE:

  • Driver's License

  • Birth Certificate

  • Passport

  • Green Card (proof of legal U.S. residency)

2. RESIDENCY (proof of home address during the last six months — not a P.O. Box). Bring ONE:

  • Driver’s License (issued in last 6 months)

  • Utility Bills (gas, electric or cable)

  • Bank Statement

  • Postmarked envelope or magazine label with name, address and date

  • Lease/rent receipt from landlord

3. SOCIAL SECURITY

  • Social Security number or card

3. CITIZENSHIP or ALIEN STATUS. Bring ONE:

  • U.S. Birth Certificate

  • Passport

  • Naturalization Certificate

  • INS Green Card

 

If you received any income during the past month, you must show proof of income. Bring all that apply:

WAGES/SALARY. Bring ONE:

  • Pay check stubs (4 most recent weeks)

  • Letter from employer on company stationary (signed & dated)

UNEMPLOYMENT BENEFITS. Bring ONE (if applies):

  • Award letter

  • Copy of benefits check

CHILD SUPPORT. Bring ONE (if applies):

  • Letter from person providing support

  • Copy of child support check

FAMILY SUPPORT (Bring if applies):

  • Signed note from family members

MILIATARY PAY. Bring ONE (if applies):

  • Award letter

  • Check stub

WORKER’S COMPENSATION. Bring ONE (if applies):

  • Award letter

  • Check stub

HEALTH INSURANCE. (Bring if applies):

  • If you pay for health insurance, provide proof of payment

CHILD CARE. (Bring if applies):

  • If you pay for child care, provide proof of payment amount

Have questions? Call Planned Parenthood.

  • In Broome County 607-723-8306

  • In Chenango County 607-334-6378

  • In Delaware or Otsego County 607-432-2250

  • Or write to ppscny@ppfa.org

 

For medical questions, or to schedule an appointment with the nearest Planned Parenthood center, call toll-free 1-800-230-PLAN. © 2000-2008 Planned Parenthood® All rights reserved. 
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This site is intended as general information.  Nothing on this web site should be considered medical advice, which can only be given to you by your health care provider.  Planned Parenthood advises families to discuss all information and questions related to health care with a health care professional.